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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROF. STACI BROADWELL, PSY.D

Active

PROF. STACI BROADWELL, PSY.D is a Clinical Psychologist healthcare provider located in PHOENIX, Arizona. NPI 1467696419 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · PHOENIX, AZ

Registration Details

NPI Number
1467696419
Provider Type
Individual
Gender
Female
NPI Issued
Apr 21, 2009 (17.308312734406 yrs)
Last Updated
Jun 12, 2024
Licenses
017898 (NY)
4519 (AZ)

Practice Information

Address
3830 E VAN BUREN ST
PHOENIX, AZ, 850086920
Browse AZ providers · Browse ZIP 85008
Phone
6022437277
Fax
6022860808
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in PHOENIX, AZ

Name Credential NPI
DR. ANDREA SHUNETTE WADDELL-PRATT PH.D. 1598767790
DR. BUFFY T. WOOTEN PH.D. 1295727964
DR. BARBARA A FORESTER PHD 1689661688
GARY A MARTIN PHD 1982692257
LINDA B TURLEY PHD 1205824471
ALEXANDER PIATKA PH.D. 1447228721
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.